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Emotional inteligence

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arousal that contributes to such a wide spectrum of

medical problems.

Finally, there is the added medical value of an empathic

physician or nurse, attuned to patients, able to

listen and be heard. This means fostering "relationshipcentered

care," recognizing that the relationship

between physician and patient is itself a factor of significance.

Such relationships would be fostered more

readily if medical education included some basic tools of

emotional intelligence, especially self-awareness and the

arts of empathy and listening. 54

TOWARD A MEDICINE THAT CARES

Such steps are a beginning. But for medicine to enlarge

its vision to embrace the impact of emotions, two large

implications of the scientific findings must be taken to

heart:

1. Helping people better manage their upsetting feelings

—anger, anxiety, depression, pessimism, and

loneliness —is a form of disease prevention. Since the

data show that the toxicity of these emotions, when

chronic, is on a par with smoking cigarettes, helping

people handle them better could potentially have a medical

payoff as great as getting heavy smokers to quit. One

way to do this that could have broad public-health

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